We will be sharing 4 online PEMPix cases in advance of the AAP National Conference and Exhibition on PEMBlog.com. Each case will premiere here, at 9AM EST, one case a day, from Monday, October 16 through Thursday, October 19th.
Bladder rupture is a rare but serious injury seen in blunt abdominal trauma in children
EmergiQuiz is an annual case-based presentation sponsored by the AAP Section on Emergency Medicine that challenges the audience to think through the differential diagnosis for four amazing cases. Traditionally these cases are presented live at the AAP National Conference and Exhibition. Since 2020 the AAP Section on Emergency Medicine has also been sponsoring the publication of online cases on EmergiQuiz.com. This is part one of the 2023 online case series.
Did you know that there are comprehensive respiratory viral panels that will test for dozens of viruses all at once? Did you know that these tests are very expensive, and that they rarely alter management? Did you know that Choosing Wisely recommends that we do not routinely obtain them for respiratory viral illnesses? Of course you did, but that doesn't mean you shouldn't watch this entertaining video that I made with Dr. Tanner Heckle, a Pediatric Emergency Medicine Fellow from Cincinnati Children's which depicts a conversation between a provider and a parent of a child with a respiratory infection.
Did you know that there are lab panels that can test for more than a dozen viruses on a single swab, but that these panels are very expensive and don't actually change the clinical trajectory of our patients all that often?
For most children with children with constipation an abdominal X-Ray will not assist in making the diagnosis or quantifying the exact stool burden. @WilltheThrill2 made a special video that helps to answer the question. And yes, he's my son. Enjoy!
X-Rays are generally not necessary for making the diagnosis of constipation or assessing the stool burden. In fact, they may obscure another diagnosis.
This video features Dr. Archit Sahai who conducts a simulated discussion with a parent of a child following a seizure, and reviews why we don't need labs or CT scans.
Labs or CT scans are not necessary to provide additional diagnostic information or reassurance for most children who recover completely following simple febrile seizures or unprovoked first time generalized seizures. The rate of abnormalities on these studies is very low, and the cost and downsides are too high to justify ordering them on a regular basis.
This video discusses why we don't need labs for most children and adolescents who are being admitted to an inpatient mental health facility via an admittedly silly (but representative) conversation.